Clinical Effectiveness of AAC Intervention in Minimally Verbal Children With ASD: A Systematic Review
DOI:
https://doi.org/10.15540/nr.10.4.239Keywords:
autism spectrum disorder (ASD), Speech generating devices, Picture exchange communication system, Manual Sign, augmentative and alternative communication, voice output communication aids, visual scene displayAbstract
Background. Autism spectrum disorder is defined as neurodevelopmental disability by (DSM-5). One third to half of minimally verbal children could benefit from augmentative and alternative communication (AAC) intervention. In children and adults with developmental disabilities, AAC enhances social interaction and daily routines. Objective. Clinical effectiveness of AAC interventions is being studied in improving outcome variables like social communication, interaction, speech production behavior and expression and their implementation in clinical practice for children with autism spectrum disorder (ASD). Method. We searched electronic databases PubMed, Web of Science, and Scopus from inception to January 2022. Randomized controlled trials with multiple baselines and multiple probe designs were selected for this review. Results. Four hundred sixty-eight articles retrieved with recruitment criteria, eight studies selected, three with multiple baseline designs, two with multiple probe designs, one with both and two randomized controlled trials (RCT) selected. Tau-U analysis and improvement rate difference (IRD) were used for analyzing the data, ranging from 0.80 to 1.00 for single-case experimental design and 0.90 to 0.95 for RCTs. Conclusions. AAC aids are effective tools for increasing communication in ASD children, but high-tech aids were more effective in increasing social communication, interaction, and speech production than low technology. Children also prefer high tech.
References
Alzrayer, N. M. (2020). Transitioning from a low- to high-tech Augmentative and Alternative Communication (AAC) system: Effects on augmented and vocal requesting. Augmentative and Alternative Communication, 36(3), 155–165. https://doi.org/10.1080/07434618.2020.1813196
Alzrayer, N. M., Banda, D. R., & Koul, R. K. (2019). The effects of systematic instruction in teaching multistep social-communication skills to children with autism spectrum disorder using an iPad. Developmental Neurorehabilitation, 22(6), 415–429. https://doi.org/10.1080/17518423.2019.1604578
American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). https://doi.org/10.1176/appi.books.9780890425596
Baio, J., Wiggins, L., Christensen, D. L., Maenner, M. J., Daniels, J., Warren, Z., Kurzius-Spencer, M., Zahorodny, W., Rosenberg, C. R., White, T., Durkin, M. S., Imm, P., Nikolaou, L., Yeargin-Allsopp, M., Lee, L.-C., Harrington, R., Lopez, M., Fitzgerald, R. T., Hewitt, A., Pettygrove, S., … Dowling, N. F. (2018). Prevalence of autism spectrum disorder among children aged 8 –ears - autism and developmental disabilities monitoring network, 11 sites, United States, 2014. MMWR Surveill Summ, 67(6), 1–23. https://doi.org/10.15585/mmwr.ss6706a1
Binger, C., Kent-Walsh, J., Ewing, C., & Taylor, S. (2010). Teaching educational assistants to facilitate the multisymbol message productions of young students who require augmentative and alternative communication. American Journal Of Speech-Language Pathology, 19(2), 108–120. https://doi.org/10.1044/1058-0360(2009/09-0015)
Bondy, A. S., & Frost, L. A. (1998). The picture exchange communication system. Seminars In Speech and Language, 19(4), 373–389. https://doi.org/10.1055/s-2008-1064055
Cagliani, R. R., Ayres, K. M., Whiteside, E., & Ringdahl, J. E. (2017). Picture exchange communication system and delay to reinforcement. Journal of Developmental and Physical Disabilities, 29(6), 925–939. https://doi.org/10.1007/s10882-017-9564-y
Cashin, A. G., & McAuley, J. H. (2020). Clinimetrics: Physiotherapy Evidence Database (PEDro) Scale. Journal of Physiotherapy, 66(1), 59. https://doi.org/10.1016/j.jphys.2019.08.005
Chapin, S. E., McNaughton, D., Light, J., McCoy, A., Caron, J., & Lee, D. L. (2022). The effects of AAC video visual scene display technology on the communicative turns of preschoolers with autism spectrum disorder. Assistive Technology, 34(5), 577–587. https://doi.org/10.1080/10400435.2021.1893235
Dimitrova, N., Özçalışkan, Ş., & Adamson, L. B. (2016). P’rents' translations of child gesture facilitate word learning in children with autism, down syndrome and typical development. Journal of Autism and Developmental Disorders, 46(1), 221–231. https://doi.org/10.1007/s10803-015-2566-7
Ganz J. B. (2015). AAC interventions for individuals with autism spectrum disorders: State of the science and future research directions. Augmentative and Alternative Communication, 31(3), 203–214. https://doi.org/10.3109/07434618.2015.1047532
Ganz, J. B., Parker, R., & Benson, J. (2009). Impact of the picture exchange communication system: Effects on communication and collateral effects on maladaptive behaviors. Augmentative and Alternative Communication, 25(4), 250–261. https://doi.org/10.3109/07434610903381111
Gevarter, C., O'Reilly, M. F., Rojeski, L., Sammarco, N., Sigafoos, J., Lancioni, G. E., & Lang, R. (2014). Comparing acquisition of AAC-based mands in three young children with autism spectrum disorder using iPad® applications with different display and design elements. Journal of Autism and Developmental Disorders, 44(10), 2464–2474. https://doi.org/10.1007/s10803-014-2115-9
Gilroy, S. P., Leader, G., & McCleery, J. P. (2018). A pilot community-based randomized comparison of speech generating devices and the picture exchange communication system for children diagnosed with autism spectrum disorder. Autism Research, 11(12), 1701–1711. https://doi.org/10.1002/aur.2025
Holyfield, C. (2019). Preliminary investigation of the effects of a prelinguistic AAC intervention on social gaze behaviors from school-age children with multiple disabilities. Augmentative and Alternative Communication, 35(4), 285–298. https://doi.org/10.1080/07434618.2019.1704866
Laubscher, E., Light, J., & McNaughton, D. (2019). Effect of an application with video visual scene displays on communication during play: Pilot study of a child with autism spectrum disorder and a peer. Augmentative and Alternative Communication, 35(4), 299–308. https://doi.org/10.1080/07434618.2019.1699160
Light, J., Wilkinson, K. M., Thiessen, A., Beukelman, D. R., & Fager, S. K. (2019). Designing effective AAC displays for individuals with developmental or acquired disabilities: State of the science and future research directions. Augmentative and Alternative Communication, 35(1), 42–55. https://doi.org/10.1080/07434618.2018.1558283
Lobo, M. A., Moeyaert, M., Baraldi Cunha, A., & Babik, I. (2017). Single-case design, analysis, and quality assessment for intervention research. Journal of Neurologic Physical Therapy, 41(3), 187–197. https://doi.org/10.1097/npt.0000000000000187
Mazurek, M. O., Lu, F., Symecko, H., Butter, E., Bing, N. M., Hundley, R. J., Poulsen, M., Kanne, S. M., Macklin, E. A., & Handen, B. L. (2017). A prospective study of the concordance of DSM-IV and DSM-5 diagnostic criteria for autism spectrum disorder. Journal of Autism and Developmental Disorders, 47(9), 2783–2794. https://doi.org/10.1007/s10803-017-3200-7
McDuffie, A. S., Lieberman, R. G., & Yoder, P. J. (2012). Object interest in autism spectrum disorder: A treatment comparison. Autism, 16(4), 398–405. https://doi.org/10.1177/1362361309360983
Mirenda, P. (2003). Toward a functional augmentative and alternative communication for students with autism: Manual signs, graphic symbols, and voice output communication aids. Language, Speech, and Hearing Services in Schools, 34(3), 203–216. https://doi.org/10.1044/0161-1461(2003/017)
Norrelgen, F., Fernell, E., Eriksson, M., Hedvall, Å., Persson, C., Sjölin, M., Gillberg, C., & Kjellmer, L. (2015). Children with autism spectrum disorders who do not develop phrase speech in the preschool years. Autism, 19(8), 934–943. https://doi.org/10.1177/1362361314556782
Page, M. J., McKenzie, J. E., Bossuyt, P. M., Boutron, I., Hoffmann, T. C., Mulrow, C. D., Shamseer, L., Tetzlaff, J. M., Akl, E. A., Brennan, S. E., Chou, R., Glanville, J., Grimshaw, J. M., Hróbjartsson, A., Lalu, M. M., Li, T., Loder, E. W., Mayo-Wilson, E., McDonald, S., McGuinness, L. A., … Moher, D. (2021). The PRISMA 2020 statement: An updated guideline for reporting systematic reviews. Systematic Reviews, 10(1), 89. https://doi.org/10.1186/s13643-021-01626-4
Parker, R. I., Vannest, K. J., & Davis, J. L. (2011). Effect size in single-case research: A review of nine nonoverlap techniques. Behavior Modification, 35(4), 303–322. https://doi.org/10.1177/0145445511399147
Sigafoos, J., Roche, L., Stevens, M., Waddington, H., Carnett, A., van der Meer, L., O’Reilly, M. F., Lancioni, G. E., Schlosser, R. W., & Marschik, P. B. (2018). Teaching two children with autism spectrum disorder to use a speech-generating device. Research and Practice in Intellectual and Developmental Disabilities, 5(1), 75–86. https://doi.org/10.1080/23297018.2018.1447391
Tan, X. Y., Trembath, D., Bloomberg, K., Iacono, T., & Caithness, T. (2014). Acquisition and generalization of key word signing by three children with autism. Developmental Neurorehabilitation, 17(2), 125–136. https://doi.org/10.3109/17518423.2013.863236
Thiemann-Bourque, K., Brady, N., McGuff, S., Stump, K., & Naylor, A. (2016). picture exchange communication system and pals: A peer-mediated augmentative and alternative communication intervention for minimally verbal preschoolers with autism. Journal of Speech, Language, and Hearing Research, 59(5), 1133–1145. https://doi.org/10.1044/2016_JSLHR-L-15-0313
Thistle, J. J., Holmes, S. A., Horn, M. M., & Reum, A. M. (2018). Consistent symbol location affects motor learning in preschoolers without disabilities: Implications for designing augmentative and alternative communication displays. American Journal of Speech-Language Pathology, 27(3), 1010–1017. https://doi.org/10.1044/2018_AJSLP-17-0129
van der Meer, L., Kagohara, D., Roche, L., Sutherland, D., Balandin, S., Green, V. A., O’Reilly, M. F., Lancioni, G. E., Marschik, P. B., & Sigafoos, J. (2013). Teaching multi-step requesting and social communication to two children with autism spectrum disorders with three AAC options. Augmentative and Alternative Communication, 29(3), 222–234. https://doi.org/10.3109/07434618.2013.815801
van der Meer, L. A., & Rispoli, M. (2010). Communication interventions involving speech-generating devices for children with autism: A review of the literature. Developmental Neurorehabilitation, 13(4), 294–306. https://doi.org/10.3109/17518421003671494
Wodka, E. L., Mathy, P., & Kalb, L. (2013). Predictors of phrase and fluent speech in children with autism and severe language delay. Pediatrics, 131(4), e1128–e1134. https://doi.org/10.1542/peds.2012-2221
Wray, C., Norbury, C. F., & Alcock, K. (2016). Gestural abilities of children with specific language impairment. International Journal of Language & Communication Disorders, 51(2), 174–182. https://doi.org/10.1111/1460-6984.12196
Yoder, P. J., & Layton, T. L. (1988). Speech following sign language training in autistic children with minimal verbal language. Journal of Autism and Developmental Disorders, 18(2), 217–228. https://doi.org/10.1007/BF02211948
Yoder, P., & Stone, W. L. (2006). Randomized comparison of two communication interventions for preschoolers with autism spectrum disorders. Journal of Consulting and Clinical Psychology, 74(3), 426–435. https://doi.org/10.1037/0022-006X.74.3.426
Yoon, S. Y., & Bennett, G. M. (2000). Effects of a stimulus-stimulus pairing procedure on conditioning vocal sounds as reinforcers. The Analysis of Verbal Behavior, 17, 75–88. https://doi.org/10.1007/bf03392957
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